Toilet/Locker Room Inspection date
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Time of cleaning

Please enter the name of the bathroom being service
Conferencing femaleConferencing maleClubhouse femaleClubhouse maleClubhouse StaffDirks Bar femaleDirks Bar MaleGolf Locker Room paraGolf Locker Room femaleGolf Locker Room malePool LadiesPool MaleUpper Deck LadiesUpper Deck MaleWaterberg LadiesWaterberg MaleWorkshop LadiesWorkshop MaleSpa MaleSpa Ladies

Your name

All washbasins/granite tops cleaned
YesNo

Reflex Rolls/Toilet Rolls filled up
YesNo

Cobwebs all cleaned out
YesNo

All lights cleaned & working
YesNo

Dust bin emptied and clean (all have bin liners)
YesNo
Check all extractor fans
yesno
Face Cloths filled timeously
yesno
Dirty Face Cloths taken away
YesNo
Soap Dispenser Filled Up
YesNo
Facial Tissue supplied
YesNo
She packets supplied/Available
YesNo
She Bins Emptied Out & Clean
YesNo
Autosprays working and not showing 000
YesNo
Floor Clean
YesNo
Toilet clean
YesNo
Mirror Clean
YesNo
Any issues/problems you have encountered
that you would like to report

Supervisor's Name

Confirm all information is correct